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CompletedNCT01888120PRIZMUpdated Mar 16, 2017

Patient Registry of Intrathecal Ziconotide Management(PRIZM)

An observational study in Patients With Severe Chronic Pain, sponsored by Jazz Pharmaceuticals. Completed at 43 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-03-16.

Sponsored by Jazz Pharmaceuticals · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
93
Ages
18 Years and older
Sex
All
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Study summary

The objectives of this study are to evaluate the effectiveness, long-term safety, tolerability, satisfaction with treatment, and health-related quality of life (HRQoL) associated with Intrathecal PRIALT use for severe chronic pain of varying etiologies.

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Conditions studied

  • Patients With Severe Chronic Pain

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03

In context

Chronic Pain

2,930 studies on the registry are indexed under Chronic Pain; 701 are open to participants now.

This study's enrollment of 93 is below the median of 126 across 688 observational studies indexed under Chronic Pain.

Browse Chronic Pain studies →

Lead sponsor

Jazz Pharmaceuticals is the lead sponsor of 167 studies on the registry; 20 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 28 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Up to 140 patients will be enrolled at approximatley 50 sites in the United States.

Inclusion criteria

  • Patient is at least 18 years of age at the time of study entry.
  • Patient who has severe chronic pain, whom IT therapy is warranted, and who is intolerant of, or refractory to other treatments, such as systemic analgesics, adjunctive therapies, and/or IT morphine.
  • Patient is planned to be initiated on IT PRIALT as the sole agent in the pump at a participated site.
  • Patient has not received PRIALT treatment administered continuously via Medtronic SynchroMed® II pump within the past 30 days.
  • Patient has a life expectancy >6 months as determined by the physician.
  • Patient is able to read, understand, and voluntarily sign the IRB-approved informed consent document prior to the performance of any study-specific procedures.
  • Patient is able to understand and complete required assessments.

Exclusion criteria

Exclusion Criteria:

  • Patient has a known hypersensitivity to PRIALT or any of its formulation components.
  • Patient has a pre-existing history of psychosis.
  • Patient has infection at the microinjection site, uncontrolled bleeding diathesis, or known spinal canal obstruction that impairs circulation of cerebrospinal fluid.
  • Patient is being initiated with PRIALT in conjunction with other IT agents.
  • Patients with any other concomitant treatment or medical condition that, in the opinion of the clinician, would render IT administration hazardous.
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
93 participants (actual)
Target follow-up
18 Months
Patient registry
Yes

Groups and cohorts

  • Severe Chronic Pain

    Drug: Ziconotide

Interventions

  • DrugZiconotide
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What researchers measure

Primary outcomes

  1. The effectiveness of PRIALT therapy for the management of severe chronic pain as evidenced by change in patient-reported pain intensity from baseline to 12 weeks after enrollment

    Time frame: 12 Weeks

Secondary outcomes

  1. Evaluate the following from the patient's perspective via patient reported outcomes (PROs)

    Time frame: From week 12, every 3 months up to month 18

  2. Evaluate the patient's global impression of change (PGIC) with PRIALT treatment

    Time frame: From week 12, every 3 months up to month 18

  3. Evaluate changes in concomitant pain medication use

    Time frame: From week 12, every 3 months up to month 18

  4. Evaluate long-term safety and tolerability data, including incidence and severity of adverse events (AEs) and serious adverse events (SAEs)

    Time frame: From week 12, every 3 months up to month 18

  5. The use of PRIALT in current clinical practice including dose at initiation, titration speed, effective dose, duration of treatment effect, use of other pain medications, etc.

    Time frame: From week 12, every 3 months up to month 18

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Study locations

43 sites
  • Tennessee Valley Pain Consultants
    Huntsville, Alabama 35801, United States
  • Valley Pain Specialists
    Chandler, Arizona 85224, United States
  • Desert Pain Institute
    Mesa, Arizona 85206, United States
  • Valley Pain Specialists
    Scottsdale, Arizona 85006, United States
  • White River Health System
    Batesville, Arkansas 72501, United States
  • United Pain Care
    Sherwood, Arkansas 72120, United States
  • Coastal Pain Research
    Carlsbad, California 92009, United States
  • Pain Therapy Solutions
    Chino, California 91710, United States
  • Pain Medicine Associates, Inc.
    Fountain Valley, California 92708, United States
  • University of California, San Diego
    La Jolla, California 92037, United States
  • Napa Pain Institute
    Napa, California 94558, United States
  • Cypress Ambulatory Surgery Center
    Santa Maria, California 93454, United States
  • Orthopedic Pain Specialists
    Santa Monica, California 90403, United States
  • Colorado Pain Clinic
    Loveland, Colorado 80538, United States
  • St. Francis Pain Center
    Wilmington, Delaware 19713, United States
  • Clearwater Pain Management
    Clearwater, Florida 33756, United States
  • Florida Pain Institute
    Merritt Island, Florida 32953, United States
  • AMPM Research Clinic
    Miami, Florida 33169, United States
  • Kennedy-White Orthopaedic Center
    Sarasota, Florida 34232, United States
  • JM Clinical Research
    South Miami, Florida 33143, United States
  • Tallahassee Neurological Clinic
    Tallahassee, Florida 32308, United States
  • Shepherd Center, Inc
    Atlanta, Georgia 30309, United States
  • Exodus Pain Clinic
    Boise, Idaho 83713, United States
  • Thompson and Chou Center for PM&R
    Louisville, Kentucky 40204, United States
  • Ana Pain Management
    Clinton Township, Michigan 48038, United States
  • Kozmary Center for Pain Management
    Las Vegas, Nevada 89102, United States
  • Spinal & Skeletal Pain Medicine
    Utica, New York 13502, United States
  • The Center for Clinical Research/Carolinas Pain Institute
    Winston-Salem, North Carolina 27103, United States
  • Integrated Pain Solutions
    Columbus, Ohio 43219, United States
  • Summa Health System Western Reserve Hospital
    Cuyahoga Falls, Ohio 44223, United States
  • Ashland Neurosurgery
    Ashland, Oregon 97520, United States
  • Cedar Sinai Medical Center
    Ashland, Oregon 97520, United States
  • OAG Interventional Pain Consultants
    Portland, Oregon 97209, United States
  • Oregon Anesthesiologist Group Interventional Pain Consultants
    Portland, Oregon 97209, United States
  • Einstein Physician Practice, Inc.
    Elkins Park, Pennsylvania 19027, United States
  • DNA Advanced Pain Treatment Center
    Greensburg, Pennsylvania 15601, United States
  • Houston Pain Associates
    Houston, Texas 77030, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Space City Pain Specialists LLP
    Webster, Texas 77598, United States
  • Advanced Spine and Pain
    Stafford, Virginia 22554, United States
  • The Center for Pain Relief
    Charleston, West Virginia 25301, United States
  • The Center of Pain Relief Tri-State
    Huntington, West Virginia 25702, United States
  • Anesthesia & Chronic Pain / University of Wisconsin
    Madison, Wisconsin 53718, United States
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References and documents

Publications

  • McDowell GC, Saulino MF, Wallace M, Grigsby EJ, Rauck RL, Kim P, Vanhove GF, Ryan R, Huang IZ, Deer T. Effectiveness and Safety of Intrathecal Ziconotide: Final Results of the Patient Registry of Intrathecal Ziconotide Management (PRIZM). Pain Med. 2020 Nov 1;21(11):2925-2938. doi: 10.1093/pm/pnaa115. PubMed 32472137 ↗
  • Deer T, Rauck RL, Kim P, Saulino MF, Wallace M, Grigsby EJ, Huang IZ, Mori F, Vanhove GF, McDowell GC 2nd. Effectiveness and Safety of Intrathecal Ziconotide: Interim Analysis of the Patient Registry of Intrathecal Ziconotide Management (PRIZM). Pain Pract. 2018 Feb;18(2):230-238. doi: 10.1111/papr.12599. Epub 2017 Jul 14. PubMed 28449352 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 16, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01888120
Lead sponsor
Jazz Pharmaceuticals
Responsible party
Sponsor
First posted
Jun 27, 2013
Start date
Jul 2013
Primary completion
Jan 2017
Completion
Mar 2017
Last update
Mar 16, 2017

Study contacts

I-Zu Huang, MD
study director · Jazz Pharmaceuticals

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.

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